Active NPI
Jna Medical Transport, LLC
- Non-emergency Medical Transport (VAN)
- Fairfax, VA
National Provider Identifier
1851685382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 110954
- Legal business name
- JNA MEDICAL TRANSPORT, LLC
- Practice address
- 4041 University Dr
#450
Fairfax, VA 22030-3414 - Phone
- (703) 474-3030
- Fax
- (703) 652-4215
- NPI assigned
- Jun 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randy Kamenetsky
- Title
- President
- Phone
- (703) 474-3030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 110954 | VA | Primary |
Addresses
Primary practice location
4041 University Dr
#450
Fairfax, VA 22030-3414
Mailing address
4041 University Dr
#450
Fairfax, VA 22030-3414
Phone (703) 474-3030
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306886400000",
"number": "1851685382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 UNIVERSITY DR",
"address_2": "#450",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303414",
"telephone_number": "703-474-3030",
"fax_number": "703-652-4215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 UNIVERSITY DR",
"address_2": "#450",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303414",
"telephone_number": "703-474-3030",
"fax_number": "703-652-4215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JNA MEDICAL TRANSPORT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A",
"authorized_official_last_name": "KAMENETSKY",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-474-3030",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "VA",
"license": "110954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.